Individual provider Active NPI

Ginger Pauline Tarabetz, D.D.S.

  • Dentist
  • Tukwila, WA
National Provider Identifier
1912916586
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE00009715 Issued in WA
Practice address
13030 Military Rd S Ste 210
Tukwila, WA 98168-3080
Phone
(206) 839-3600
NPI assigned
Aug 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DE00009715 WA
General Practice Dentistry 1223G0001X 6370 OK
Dentist 122300000X DE00009715 WA Primary

Addresses

Primary practice location

13030 Military Rd S Ste 210
Tukwila, WA 98168-3080

Mailing address

955 Powell Ave SW
Renton, WA 98057-2908
Phone (425) 277-1311

Other practice location 1

1015 W. Washbourne Street
Jay, OK 74346
Phone (918) 253-8696

Other identifiers 1

IdentifierTypeStateIssuer
5043435MedicaidWA

Other names 1

  • Mrs. Ginger Garay Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gtarabetz19635@healthpoint.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200409003299 WA Order and Referring Only - DentistPractitioner - Dentist 1153612767

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6370OKMDGeneral Practice Dentistry
DE00009715WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpoint Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ginger.tarabetz.p3@direct.hpc.nextgenshare.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1912916586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 POWELL AVE SW",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572908",
            "telephone_number": "425-277-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13030 MILITARY RD S STE 210",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981683080",
            "telephone_number": "206-839-3600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1015 W. Washbourne Street",
            "address_purpose": "LOCATION",
            "city": "Jay",
            "state": "OK",
            "postal_code": "74346",
            "country_code": "US",
            "telephone_number": "918-253-8696",
            "fax_number": "918-253-2871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TARABETZ",
        "first_name": "GINGER",
        "middle_name": "PAULINE",
        "name_prefix": "Mrs.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00009715",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "6370",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00009715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5043435",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gtarabetz19635@healthpoint.direct-ci.com",
            "affiliation": "N",
            "address_1": "13030 Military Rd S Ste 210",
            "city": "Tukwila",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981683080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "GINGER",
            "last_name": "GARAY",
            "prefix": "MRS.",
            "credential": "D.D.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tukwila, WA

Sources for this page

Verify at the official NPI Registry.